Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $501.19	Professional		$147.91	$251.19	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $446.68	Professional		$263.03	$354.81	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $407.38	Professional		$165.96	$269.15	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $467.74	Professional		$181.97	$263.03	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $389.05	Professional		$199.53	$239.88	$389.05
Select Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $239.88 / $1,318.26	Professional		$213.80	$239.88	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $416.87	Professional		$151.36	$251.19	$416.87